CAROLYN M WALLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041098277

License Status

INACTIVE

Business

First Name

CAROLYN M

Last Name

WALLER

Business Name

CAROLYN M WALLER

Original Issue Date

11/29/1960

Effective Date

04/20/2010

Expiration Date

05/31/2012

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

03/08/2012